Depressive symptoms are one of the biggest mental health issues among Korean American adolescents. Previous studies have found that parental warmth and intergenerational family conflict have a major impact on depressive symptoms among Korean American adolescents. This cross-sectional study examines the mediation effects of intergenerational family conflict between perceived parental warmth and depressive symptoms among 97 Korean American adolescents aged 14 to 18 years old in the Pacific Northwest region. The results revealed that 60% of participants experienced depressive symptoms. In addition, mother-adolescent conflict significantly mediated between perceived parental warmth and depressive symptoms while father-adolescent conflict did not significantly mediate. The finding suggests the need to develop intervention programs for Korean American adolescents and their parents that focus on creating an understanding of the difference between Korean culture and American culture, identifying early signs of depressive symptoms, and decreasing intergenerational family conflict by teaching parents to express parental warmth effectively.

Purpose: The goal of this study was to examine the association between perceived racial discrimination and substance use and the potential moderating effect of perceived parental affection between the two variables. Methods: A total of 101 Korean American adolescents participated in this cross-sectional study utilized an online survey. Descriptive statistics were used to describe for means and frequencies and the patterns of substance use. Logistic regression analysis was also used to examine the association between perceived discrimination and substance use. Results: Ninety percent of the participants reported perceiving racial discrimination, and 21% had used at least one kind of substance in the month prior to taking the survey. The most frequently used substance was alcohol, followed by marijuana and tobacco products. Logistic regression analysis revealed a link between perceived racial discrimination and substance use (OR = 1.74, 95% CI = 1.01, 3.00). However, parental affection did not moderate between racial discrimination and substance use. Conclusion: These findings suggest that perceived racial discrimination is positively associated with substance use among Korean American adolescents, and health care providers, counselors, and school nurses should screen for discrimination-related stress and substance use in this population.

<p>Purpose: The study was conducted to investigate students’ perceptions on their clinical experience and the quality clinical placement.<br />Methods: This was a cross-sectional descriptive study. One hundred and thirteen junior or senior nursing students participated in this study. Descriptive statistics were used to analyze the data. <br />Results: Majority nursing students expressed un-satisfaction (57.52%) with the required hours of practicums. They experienced different quality of clinical placement between the cities. Direct nursing skills they practice were limited to doing chores (67.1%), charting (14.47%), providing education to patients and families (10.53%), giving medication (7.89%). 49.56% of the students did not satisfy with what they have received shift schedule which was given from hospitals. <br />Conclusion: Simulation and scenario-centered education should be considered in Asian countries as one of replacement of clinical hours on-site. Future research warrants testing and clarifying the most appropriate clinical hours to the nursing undergraduates for their quality clinical placement.</p>